PMID- 20712008 OWN - NLM STAT- MEDLINE DCOM- 20101207 LR - 20220310 IS - 1699-5848 (Electronic) IS - 0213-3911 (Linking) VI - 25 IP - 10 DP - 2010 Oct TI - Angiogenesis index CD105 (endoglin)/CD31 (PECAM-1) as a predictive factor for invasion and proliferation in intraductal papillary mucinous neoplasm (IPMN) of the pancreas. PG - 1239-46 LID - 10.14670/HH-25.1239 [doi] AB - BACKGROUND: Intraductal papillary-mucinous neoplasm (IPMN) of the pancreas is an increasingly diagnosed entity since its definition by the World Health Organization in 1996. It has a broad clinical spectrum ranging from benign to malignant tumors. Optimum treatment is controversial and a better understanding of the development of IPMN of the pancreas and identification of potential prognostic factors will help to address this. Angiogenesis plays an elementary role in the development of malignant tumors and may well also be important in the development of IPMN of the pancreas. Therefore we investigated endothelial cell marker CD31 (PECAM-1) and angiogenesis associated marker CD105 (endoglin) by immunohistochemistry. METHODS: Thirty-two cases of surgically resected IPMN were chosen retrospectively and clinical data were obtained. Specimens were stained for proliferation marker (Ki-67), CD31 and CD105 by immunohistochemistry. A CD105/CD31 Angiogenesis ratio (AR) was established to determine the proliferating fraction of endothelial cells. RESULTS: The AR is significantly elevated in invasive IPMN of the pancreas (Mann-Whitney-U Test, p<0.05) and is associated with the Ki-67-labelling-index, demonstrating synergy between tumor-growth and neovascularisation. Invasive IPMN of the pancreas is associated with significantly lower recurrence-free and overall survival. CONCLUSIONS: Neovascularisation plays an important role in the tumorigenesis of invasive IPMN of the pancreas, and therefore angiogenesis-associated molecules like CD105 and CD31 might be useful tools as prognostic markers. Furthermore, the results indicate a potential role for adjuvant anti-angiogenic therapies in selected patients with recurring and/or invasive IPMN of the pancreas. FAU - Tachezy, Michael AU - Tachezy M AD - Department of General-, Visceral-, and Thoracic-Surgery, University Medical Center Hamburg Eppendorf, Germany. mtachezy@uke.uni-hamburg.de FAU - Reichelt, Uta AU - Reichelt U FAU - Melenberg, Tanja AU - Melenberg T FAU - Gebauer, Florian AU - Gebauer F FAU - Izbicki, Jakob R AU - Izbicki JR FAU - Kaifi, Jussuf T AU - Kaifi JT LA - eng PT - Journal Article PL - Spain TA - Histol Histopathol JT - Histology and histopathology JID - 8609357 RN - 0 (Antigens, CD) RN - 0 (Biomarkers, Tumor) RN - 0 (ENG protein, human) RN - 0 (Endoglin) RN - 0 (Ki-67 Antigen) RN - 0 (Platelet Endothelial Cell Adhesion Molecule-1) RN - 0 (Receptors, Cell Surface) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, CD/*analysis MH - Biomarkers, Tumor/*analysis MH - Carcinoma, Pancreatic Ductal/blood supply/*chemistry/mortality/pathology MH - Carcinoma, Papillary/blood supply/*chemistry/mortality/pathology MH - *Cell Proliferation MH - Endoglin MH - Female MH - Germany MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Ki-67 Antigen/analysis MH - Male MH - Middle Aged MH - Neoplasm Invasiveness MH - Neoplasm Staging MH - Neoplasms, Cystic, Mucinous, and Serous/blood supply/*chemistry/mortality/pathology MH - Neovascularization, Pathologic/*metabolism/pathology MH - Pancreatic Neoplasms/blood supply/*chemistry/mortality/pathology MH - Platelet Endothelial Cell Adhesion Molecule-1/*analysis MH - Prognosis MH - Receptors, Cell Surface/*analysis MH - Retrospective Studies MH - Time Factors EDAT- 2010/08/17 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/08/17 06:00 PHST- 2010/08/17 06:00 [entrez] PHST- 2010/08/17 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - 10.14670/HH-25.1239 [doi] PST - ppublish SO - Histol Histopathol. 2010 Oct;25(10):1239-46. doi: 10.14670/HH-25.1239.